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Synergistic interaction between bedtime and eating speed in predicting overweight and obesity in Chinese preschool-aged children.
Aging 2019 April 13
This study aimed to examine the association of late bedtime and fast eating speed, both individually and interactively, in predicting overweight and obesity in Chinese preschool-aged children. This was a cross-sectional survey among children aged 3-6 years. Overweight and obesity is defined according to the WHO, IOTF, and China criteria, respectively. Total 1123 preschool-aged children were analyzed. After multivariable adjustment, late bedtime after 11:00 pm and fast eating speed increased the risk of overweight and obesity significantly under the WHO (odds ratio [OR]=1.92 and 1.37, 95% confidence interval [CI]: 1.31-2.80 and 1.00-1.88), IOTF (OR=1.47 and 1.46; 95% CI: 1.00-2.15 and 1.07-2.00), and China (OR=1.66 and 1.39; 95% CI: 1.20-2.29 and 1.07-1.80) criteria. Relative to bedtime before 11:00 pm and eating speed ≥30 min, there was a graded increase with presence of either bedtime after 11:00 pm or eating speed 15-30 min and <15 min. Particularly, the presence of both bedtime after 11:00 and eating speed <15 min yielded the largest OR under the WHO (adjusted OR, 95% CI: 3.98, 1.27-12.51), IOTF (3.59, 1.12-11.50), and China (4.84, 1.71-13.69) criteria. Taken together, our findings indicate a synergistic interaction between bedtime and eating speed in predicting overweight and obesity in Chinese preschool-aged children.
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